Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11038 | Date 24/05/2022 |
| Token No | SM/22-23/12837 24/05/2022 | Serial | 027 Last Visit: 30/06/2022 |
| Patient Name | Mrs. KABITA NANDI | Contact No | 7439999877 |
| Address | KANAIPUR COLONY 19/C,GHOSH PARA 1ST LANE CHATRA SERAMPORE HOOGHIY | Age | 22+ YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | 164.4 cm BMI: 29.229640 |
| Diagnosis | |||